Multidisciplinary team (MDT) approach to pelvic floor disorders

Ferrari, Linda; Gala, Tanzeela; Igualada-Martinez, Paula; Brown, Heidi W.; Weinstein, Milena M.; Hainsworth, Alison

doi:10.1016/j.cont.2023.100716

Cited by 1 publication

(2 citation statements)

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“…The complexity of FI lends itself to an MDT approach with studies confirming effectiveness of the MDT in enhancing patient satisfaction and promoting greater adherence to treatment ( 52 , 53 ). A typical MDT could include specialist surgeons (colorectal, gynaecology, urology) physiotherapists, clinical scientists, specialist nurses and radiologists for example ( 54 ). The MDT facilitates discussions regarding patients where current treatment is ineffective, enables the review of imaging and results, and allows for the consideration of additional non operative or surgical procedures including joint procedures in individuals with multicompartment prolapse ( 54 ).…”

Section: Work Up and Diagnosismentioning

confidence: 99%

“…A typical MDT could include specialist surgeons (colorectal, gynaecology, urology) physiotherapists, clinical scientists, specialist nurses and radiologists for example ( 54 ). The MDT facilitates discussions regarding patients where current treatment is ineffective, enables the review of imaging and results, and allows for the consideration of additional non operative or surgical procedures including joint procedures in individuals with multicompartment prolapse ( 54 ). The MDT also provides the opportunity for less specialised surgeons to attend, either face to face or via videoconferencing to gather support and increased knowledge from the established expert network ( 55 ).…”

Section: Work Up and Diagnosismentioning

confidence: 99%

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Faecal incontinence—a comprehensive review

Dexter,

Walshaw,

Wynn

et al. 2024

Front. Surg.

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IntroductionFaecal incontinence (FI) is a distressing and often stigmatizing condition characterised as the recurrent involuntary passage of liquid or solid faeces. The reported prevalence of FI exhibits considerable variation, ranging from 7 to 15% in the general population, with higher rates reported among older adults and women. This review explores the pathophysiology mechanisms, the diagnostic modalities and the efficiency of treatment options up to date.MethodsA review of the literature was conducted to identify the pathophysiological pathways, investigation and treatment modalities.Result and discussionThis review provides an in-depth exploration of the intricate physiological processes that maintain continence in humans. It then guides the reader through a detailed examination of diagnostic procedures and a thorough analysis of the available treatment choices, including their associated success rates. This review is an ideal resource for individuals with a general medical background and colorectal surgeons who lack specialized knowledge in pelvic floor disorders, as it offers a comprehensive understanding of the mechanisms, diagnosis, and treatment of faecal incontinence (FI).

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